Associate Business Analyst

This is a fully remote position, open to applicants in Alabama, +43 more states.

📋 Description

• Develop new MAC lists and oversee the management of existing MAC lists

• Input MAC pricing into the adjudication platform

• Execute quality control processes related to MAC

• Partner with the Finance Guarantee team to ensure client commitments are upheld

• Make necessary MAC adjustments as required

• Review and address pharmacy MAC appeals

• Collaborate with the Legal team to handle MAC-related complaints from state agencies

• Monitor pharmacy GER guarantees

• Generate MAC-related reports, including those for clients and pharmacies

⛳️ Requirements

• 2–5 years of experience in pharmacy benefit management (PBM), pharmaceutical pricing or reimbursement, healthcare compliance or regulatory affairs, data analysis, or financial modeling

• Familiarity with the RxClaim platform (AS 400) is preferred

• Associate Degree or equivalent professional experience

• Bachelor's Degree is preferred

🏝️ Benefits

• Medical coverage

• Dental coverage

• Vision coverage

• Paid time off

• Retirement savings options

• Wellness programs

• Additional resources supporting physical, emotional, and financial well-being

• CVS Health bonus, commission, or short-term incentive program